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目的探讨腹腔镜保留脾、胰尾肿瘤切除术的可行性。方法2001年11月至2006年2月间,暨南大学第二临床医学院(深圳市人民医院)肝胆外科对5例胰尾肿瘤的病人实施保留脾脏腹腔镜胰尾肿瘤切除术。结果手术过程顺利,肿瘤完整切除,其中2例为手助腹腔镜、3例在全腹腔镜下完成,术中出血50~150mL,手术时间90~180min,术后第2天进食、下床活动,1例少量胰瘘,1例胰腺假性囊肿形成。5例病人均痊愈出院。结论腹腔镜对于胰尾的孤立肿瘤切除是微创、安全、可行的,值得进一步推广。
Objective To investigate the feasibility of laparoscopic splenectomy and pancreatic tail tumor resection. Methods Between November 2001 and February 2006, 5 patients with pancreatic tail tumors underwent splenectomy and laparoscopic pancreatic tail excision in the Second Affiliated Hospital of Shenzhen University (Shenzhen People’s Hospital). Results The operation was successful and the tumors were completely resected. Among them, 2 cases were assisted by laparoscopy and 3 cases were performed by laparoscopy. The intraoperative bleeding was 50-150 mL, the operation time was 90-180 min, the second day after operation, and the ambulation , 1 case of small pancreatic fistula, 1 case of pancreatic pseudocyst formation. All 5 patients were cured and discharged. Conclusions Laparoscopic solitary tumor resection for pancreatic tail is minimally invasive, safe and feasible, which is worth further promotion.